NOVA SPINE CENTER LLC
NPI 1598454381
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Sterling, VA

Q: What is Nova Spine Center LLC's NPI number?

The NPI number for Nova Spine Center LLC is 1598454381. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is doing business as Nova Spine Center.

Q: What is Nova Spine Center LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since May 05, 2023

21351 GENTRY DR STE 125, STERLING, VA 20166(410) 599-9872(703) 683-7801 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2025, Jun 22, 2023, May 5, 2023 (3 updates tracked since 2023).

On this page

About Nova Spine Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVA SPINE CENTER LLC (NPI 1598454381), doing business as Nova Spine Center, is a healthcare organization registered as an orthopaedic surgery of the spine in Sterling, Virginia and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Annandale and lists Mark Shasti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598454381

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NameNOVA SPINE CENTER LLC

Location Address21351 GENTRY DR STE 125Sterling, VA 20166-8511

Mailing Address649 Deerfield Farm CtGreat Falls, VA 22066-3934 · (410) 599-9872

Phone(410) 599-9872

Fax(703) 683-7801

Organization SubpartNo

Authorized OfficialMark ShastiCeo · (410) 599-9872

Enumeration DateMay 5, 2023

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1598454381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

21351 GENTRY DR STE 125, Sterling, VA 20166

Open in Google Maps ↗

Other Names 1

Doing Business AsNova Spine Center

Secondary Practice Location 1

Location 15105L Backlick RdAnnandale, VA 22003-6067 · Phone (410) 599-9872

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Spine Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateVirginiaEnrollment IDO20231115002320DME · Physician - Orthopedic/Orthopedic SurgeryDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nova Spine Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Crystal Lee, NP-C

Nurse Practitioner

NPI 1528530342

21351 GENTRY DR STE 125
Sterling, VA 20166

(703) 774-3132

✔ PECOS✔ Accepts MedicareSame address

Mark Shasti, MD

Orthopedic Surgery

NPI 1295078848

21351 GENTRY DR STE 125
Sterling, VA 20166

(703) 774-3132

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nova Spine Center LLC's NPI number?

The NPI number for Nova Spine Center LLC is 1598454381. It was assigned to this organization in the NPPES registry on May 5, 2023. The provider is doing business as Nova Spine Center.

Where is Nova Spine Center LLC located?

Nova Spine Center LLC is located at 21351 Gentry Dr Ste 125, Sterling, VA 20166. The listed phone number is (410) 599-9872.

What is Nova Spine Center LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Nova Spine Center LLC enrolled in Medicare?

Yes. Nova Spine Center LLC is registered in the Medicare PECOS enrollment system.

When is Nova Spine Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Virginia, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nova Spine Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nova Spine Center LLC, in Nurse Practitioner and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nova Spine Center LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.